Stabilisation of chronic flail chest: a novel approach of surgical fixation and osteogenesis.
نویسندگان
چکیده
A patient with chronic flail chest, severe persistent pain and chest wall deformity was successfully managed with open reduction and internal fixation of the ribs and application of a novel osteogenic protein.
منابع مشابه
Crossed Kirschner’s wires for the treatment of anterior flail chest: an extracortical rib fixation
Objective: Thoracic trauma may be a life-threatening condition. Flail chest is a severe chest injury with high mortality rates. Surgery is not frequently performed and, in Literature, data are controversial. The authors report their experience in the treatment of flail chest by an extracortical internal-external stabilization technique with Kirshner’s wires (K-wires). <...
متن کاملSuccessful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
Increasing attention has been directed towards operative rib fixation of traumatic flail chest; reported benefits include more rapid weaning from the ventilator, decreased intensive care unit stays, decreased complications and improved functional results. The outcomes of this surgical intervention in patients with osteogenesis imperfecta, a rare condition characterized by low bone density and b...
متن کاملAn original technique for surgical stabilisation of traumatic flail chest.
The treatment of chest wall injuries with severe paradoxical movement remains controversial. Intermittent positive-pressure respiration may be appropriate, but in some, especially those requiring exploratory thoracotomy for a visceral lesion, surgical fixation is desirable. We present a simple method using two or three stainless Kirschner wires placed in the chest wall. Results in five cases ha...
متن کاملLimitations of Rib Fixation for Chest Wall Reconstruction
Surgical rib fixation in the setting of flail chest has proven benefits, while surgical fixation of non-flail fractures is controversial. Chest wall reconstruction with rib fixation techniques can improve pain, preserve breathing mechanics and prevent complications from lung herniation. However, there are limitations to this technique. With this case report, we describe plate fracture and screw...
متن کاملRib Fracture Fixation Restores Inspiratory Volume and Peak Flow in a Full Thorax Human Cadaveric Breathing Model
BACKGROUND Multiple rib fractures cause significant pain and potential for chest wall instability. Despite an emerging trend of surgical management of flail chest injuries, there are no studies examining the effect of rib fracture fixation on respiratory function. OBJECTIVES Using a novel full thorax human cadaveric breathing model, we sought to explore the effect of flail chest injury and su...
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ورودعنوان ژورنال:
- Thorax
دوره 64 3 شماره
صفحات -
تاریخ انتشار 2009